Evidence map›Paper›PMID 27608624›Full record

Trial reportBMC cardiovascular disorders2016

Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial.

Lufei Young, Melody Hertzog, Susan Barnason

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC cardiovascular disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01964053 (Promoting Self-management Through Adherence Among Heart Failure Patients), which is not on this map. Cited by 30 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 14 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01964053 nacompletednot on this map

Promoting Self-management Through Adherence Among Heart Failure Patients

TypeinterventionalSponsorUniversity of NebraskaRan2013 to 2016Enrolled105ConditionsHeart FailureArmsPATCH intervention, Usual care
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 14 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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  12. Interventions to promote patient utilisation of cardiac rehabilitation.The Cochrane database of systematic reviews · 2019
    Pooled it
  13. Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
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  15. Review
  16. Article
  17. Article
  18. The relationship of health activation with risk of future cardiovascular disease among rural family caregivers of patients with chronic illnesses.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Lufei YoungDepartment of Physiological and Technological Nursing, College of Nursing Augusta University, 987 St. Sebastian Way, Augusta, GA, 30912, USA. luyoung@augusta.edu.ORCID 0000-0001-5056-4777
Melody HertzogUniversity of Nebraska Medical Center, College of Nursing, Omaha, Nebraska, USA.
Susan BarnasonUniversity of Nebraska Medical Center, College of Nursing, Omaha, Nebraska, USA.
University of Nebraska Medical Center · USAugusta University · US

Funding

Promoting Self-management Through Adherence among Heart Failure PatientsR15NR013769 · NINR · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI YOUNG, LUFEI · 2013 to 2013
$301k
NINR NIH HHS R15 NR013769
6 · The paper itself

Abstract

backgroundHeart failure (HF) patients discharged from rural hospitals have higher 30-day readmission rates. Self-management (SM) reduces readmissions, but adherence to SM guidelines is low in the rural HF population. We tested a home-based intervention to enhance patient activation and lead to improved SM adherence.

methodsIn this two-group, repeated measures randomized control trial, the main outcomes were patient reported and clinical outcomes associated with SM adherence, and all-cause readmission at 30, 90 and 180 days.

resultsThe study included 100 HF patients discharged from a rural critical access hospital. The intervention group received a 12-week SM training and coaching program delivered by telephone and tailored on subjects' activation levels. At α = .10, the PATCH intervention showed significantly greater improvement compared to usual care in patient-reported SM adherence: weighing themselves, following a low-sodium diet, taking prescribed medication, and exercising daily (all p < .0005) at 3 and 6 months after discharge. In contrast, groups did not differ in physical activity assessed by actigraphy or in clinical biomarkers. Contrary to expectation, the 30-day readmission rate was significantly higher (p = .088) in the intervention group (19.6 %) than in the control group (6.1 %), with no differences at 90 or 180 days.

conclusionIt is feasible to conduct a randomized controlled trial in HF patients discharged from rural critical access hospitals. Significantly higher patient-reported SM adherence was not accompanied by lower clinical biomarkers or readmission rates. Further research is needed to understand mechanisms that influence outcomes and healthcare utilization in this population.

trial registrationCLINICAL TRIAL REGISTRATION INFORMATION: ClinicalTrials.gov; NCT01964053 .

Indexed as

Home Care Services, Hospital-BasedPatient CompliancePatient ReadmissionRural Health ServicesSelf CareAdultAgedAged, 80 and overBody WeightCardiovascular AgentsDiet, Sodium-RestrictedExerciseFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHeart FailureCardiovascular Agents

Identifiers

PMID27608624
PMCPMC5016888
OpenAlexW2508578541

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.